Baptism Certificate Order Form | Order Baptism Certificate | USA CANADA
INTERNATIONAL NOVELTY

SOUVENIR
PRODUCT
ORDER FORM
- PRINT AND MAIL THIS ORDER FORM
Complete sign and mail order form with payment. Forms not signed
will be discarded.
If field does not apply, leave blank. If you
need additional fields, fill out custom field
and print legibly…

Please use the fields below
to include all information pertaining to your order. Information which is
not relevant to your order will automatically be
purged when your order is completed. Enclose any
further info if needed.

SOUVENIR
ADOPTION BIRTH:
NOW ONLY: US$99.00

FULL NAME OF ADOPTED CHILD ON FAKE BIRTH CERTIFICATE :
FIRST
MIDDLE LAST

DATE OF BIRTH:
SEX:
PLACE OF BIRTH:
HOSPITAL:

MONTH/DAY/ CENTURY AND YEAR
M/F
CITY/COUNTY/STATE/COUNTRY

FULL NAME OF ADOPTING MOTHER:

FIRST
MIDDLE
LAST

FULL NAME OF ADOPTING FATHER:

FIRST
MIDDLE
LAST

SOUVENIR
BAPTISM:
NOW ONLY: US$99.00

LEGAL NAME OF CHILD:
FIRST
MIDDLE LAST

DATE OF BIRTH:
COUNTY/COUNTRY
SEX

DATE OF BAPTISM: RACE:
NAME OF PARENTS:

YOUR
SIGNATURE:

Add
Shipping & Handling To Total: AUD
$20.00 GBP £10.00 EURO €10.00 US$10.00 RUSH
ORDERS (CASH ONLY )
ADD AUD
$45.00 GBP £25.00 EURO €30.00 US$35.00
Payment accepted in any of above currencies by:
Cash ___Or Traveler Checks___FOR
FASTEST SERVICEor
by International Postal Money Orders____
We
DO NOT accept personal checks or US post office
local money orders. We
do accept US post office INTERNATIONAL MONEY
ORDERS ONLY All
checks will be held for 30 days and order
shipped after clearance

Terms and Conditions: I
state I am the person whom I
represent myself to be herein,
and I affirm the information
within this product
application is complete and
accurate.
I represent, warrant and
covenant that:
I am
at least eighteen years of age
and have the full right and
authority to enter into this
Agreement.
I do not reside in any country
to which import of souvenir
design products are prohibited
or restricted. I will not use
any of the souvenir software
designs in any manner
prohibited by any laws,
restrictions or regulations.
My use of the souvenir design
prints does not violate any
applicable law or regulation
of the country, state, or
other governmental entity in
which I reside
and accept full responsibility
for the accuracy of the
information contained in this
application as solely mine.
I
without reservation or
restriction understand fully
that you are not an
an
issuing authority of any
governmental entity or agency
that is authorized to issue
official identification
documents, means of official
identification, or
authentication features.
Any original designs
are sold for novelty,
commemorative, celebratory,
commemoratory, dedicatory, in
memory, in remembrance,
memorial, observing as a
memento, or for a collection
or exhibit, for decorative
purposes, for a dramatic
presentation, such as a
theater, film, or television
production or for for any
other recreational, souvenir
or amusement purpose, and not
for any legal or official
purpose,
and any souvenir design is not
an
authentication feature issued
by or under the authority of
any
government, state, political
subdivision of a state, a
foreign government, political
subdivision of a foreign
government, an international
governmental or an
international
quasi-governmental
organization. I
expressly acknowledge you
reserve the right to change,
modify, update or discontinue
any design for any reason and
elect to replace any design
with an alternate design as
updates become available. I
understand any souvenir
product is not to be used for
any official purpose, or to
use, deal with or act upon it
as if they were genuine, or to
induce any person by
the belief that it is genuine.
I understand the use or
mention of any product name,
image or trademark on your web
site is in no way intended to
suggest that any novelty
product is an officially
issued design as all images
are trademarks or registered
trademarks of original
designers, and are for
reference only.

By signing this agreement,
I attest, affirm, and
my signature below serves as
evidence that I, the
bearer/purchaser, agree to the
aforementioned agreement in
its entirety and
do hereby certify
and accept all the terms and
conditions contained herein,
and agree to be bound by its
terms and conditions.
__________________________________
X
_____________________
_____________________
Name
Signature
Date

NO FEDEX, UPS, USPS EXPRESS OR
PRIVATE COURIER ACCEPTED. USE
YOUR LOCAL POST OFFICE MAIL OR
Priority Mail or British Royal
Express
FOR FASTEST SERVICE. MAIL
YOUR ORDER FORM AND PAYMENT TO
ADDRESS BELOW: If
sending international money
order or traveler checks leave
the 'Pay to:' / 'Payee:' /
'Pay to the order of:' field
blank. Do not enter our
mailing address in the payee
field
GLOBAL MAIL REDIRECTION34152 STN D
VANCOUVER, BC
CANADA V6J 4N2